Nasir Muhammad, Ahmed Aliya
Anaesthesiology, Aga Khan University, Karachi, PAK.
Cureus. 2020 Jan 17;12(1):e6685. doi: 10.7759/cureus.6685.
Research has shown that more than 50% of patients have insufficient postoperative pain relief despite the use of multiple pain management modalities. Insufficient pain relief leads to several pathophysiological effects. One of the barriers to optimal pain relief is patient's lack of knowledge regarding the options available for pain management and their potential side effects. In this survey, we evaluated surgical patients' knowledge about postoperative pain and its management in patients undergoing major upper abdominal surgeries at a tertiary care hospital.
This was a cross-sectional survey. A total of 155 patients (18-60 years of age) scheduled to undergo elective major upper abdominal surgery were included after ethical approval and informed consent. Preoperatively, patients were interviewed through a questionnaire regarding knowledge about postoperative pain and its management.
The average age of the patients was 42.97 ± 13.05 years. Excellent and good knowledge were observed in 11.61% and 21.94% patients, respectively, whereas fair and poor knowledge were seen in 42.58% and 23.87%, respectively. Inadequate knowledge was more marked regarding analgesic side effects and addiction risk. Education level, history of surgery, and adequate information provision about pain management plan by surgeons preoperatively were significantly associated with a higher level of knowledge about pain and its management (p-value 0.0005, 0.002, and 0.0005, respectively).
A considerable proportion of patients have inadequate knowledge about their postoperative pain and its management, particularly in areas of side effects and addiction risk.
研究表明，尽管使用了多种疼痛管理方式，但仍有超过50%的患者术后疼痛缓解不充分。疼痛缓解不充分会导致多种病理生理效应。实现最佳疼痛缓解的障碍之一是患者对可用的疼痛管理选项及其潜在副作用缺乏了解。在本次调查中，我们评估了一家三级护理医院接受上腹部大手术患者对术后疼痛及其管理的了解情况。
这是一项横断面调查。在获得伦理批准并取得知情同意后，纳入了总共155例计划接受择期上腹部大手术的患者（年龄在18 - 60岁之间）。术前，通过问卷对患者进行访谈，了解他们对术后疼痛及其管理的知识。
患者的平均年龄为42.97 ± 13.05岁。分别有11.61%和21.94%的患者知识掌握情况优秀和良好，而知识掌握情况一般和较差的患者分别为42.5%和23.87%。在镇痛副作用和成瘾风险方面，患者知识掌握不足的情况更为明显。教育水平、手术史以及外科医生术前是否提供了关于疼痛管理计划的充分信息，均与对疼痛及其管理的更高知识水平显著相关（p值分别为0.0005、0.002和0.0005）。
相当一部分患者对其术后疼痛及其管理了解不足，尤其是在副作用和成瘾风险方面。
